Individual
FAWAD KHALIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6565 N CHARLES ST, PPE 203, TOWSON, MD 21204-6800
(443) 849-3760
(443) 849-8138
Mailing address
6565 N CHARLES ST, PPE 203, TOWSON, MD 21204-6800
(443) 849-3760
(443) 849-8138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D87600
MD
Other
Enumeration date
03/31/2016
Last updated
07/11/2019
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